Rob Waller's ALL-AMERICAN 2013 WRESTLING ... - Wrestling Report

Rob Waller’s
ALL-AMERICAN 2013
WRESTLING (Satellite) CAMP
@ Knoch Primary School
328 Knoch Road, Saxonburg, PA 16056
July 7-11 th -2013
The Choice
Of Champions
Rob "Coach" Waller:
Teyon Ware
Robbie Waller, III
Troy Letters
Ian McLaughlin:
Featuring
Director and Head Clinician of the All American Wrestling Camps since
1973, inducted into Pennsylvania Wrestling Hall of Fame, 2009 inductee
into the State University of New York at Delhi Athletic Hall of Fame,
Junior National Freestyle team coach 2001, high school coach for 25
seasons, two time Olympic finalist.
2x NCAA Champion, 4 time All-American & 2012 World Champion.
Assistant Coach at Binghamton University, 4X Oklahoma State
NCAA Champion, 2 time NCAA finalist and 4 time NCAA qualifier, PA
State Champion and 3 time PIAA All-American (Mount Pleasant Area
High School)
NCAA Champion, 3 time All-American, Head Coach Clarion University, 3
time PIAA (Pennsylvania Interscholastic Athletic Association) state
champion (Shaler Area High School)
National Prep Champion & OW 2008, Wrestled at University of North
Carolina, Chapel Hill
When:
Where:
Cost:
July 7-11, 2013
Knoch Primary School, 328 Knoch Rd., Saxonburg, PA 16056
$150.00-call 724-285-8656 for information on family and team discounts
Session times:
Doors open at 8 AM for early drop off, 5 PM for late pick up!
9-11:30 Technique Session
Lunch
12:30-3:00 Technique and Live Wrestling
Camp ends at 3:00 PM each day.
*More state qualifiers, more state place winners, and more state champions have attended our camps than any
other camp in Western Pennsylvania!

July 7-11, 2013 Knoch Primary School
The Following Release form must be signed and
returned
1. Permission to Treat
Coach McLaughlin/Waller and/or his designee (i.e.:
staff member) have permission to have
_____________________________________
Treated if necessary at the appropriate facility if he
is injured, or if he appears to be injured
2. Indemnification By Parent or Guardian of
Applicant
The Undersigned parent or guardian of
_________________________________________
(Wrestler’s name)
The applicant, for and in further consideration of the
wrestling camp accepting said applicant does hereby
release and discharge the curators of Rob Waller’s
All-American Wrestling Camp and its representatives,
employees and agents from any and all debts, claims
and demands, actions, damages, causes of action,
judgments or suits of any kind which may result of
this applicant participation in, traveling to or from
the All-American Wrestling Camp, and hereby agree
to have and indemnify and keep harmless the curators
of the All-American Wrestling Camps, its representatives,
employees and agents against liability
claims, judgments or demands for damages arising
as a result of any course instruction given the applicant
by Rob Waller’s All-American Wrestling Camps
___________________________ _________________
Signature of Parent/Guardian Date
Are you or your dependents entitled to health benefits
under any employer, Union, Group Plan, Group
Blue Cross, Blue Shield, Medicare, Medicaid, Select
Blue or other HMO or any other government Program?
________ YES
If So Person Carrying Coverage
___________ NO
______________________________________________
Name
______________________________________________
EMPLOYER or Sponsoring Organization
_____________________________________________
Insurance Company
Plan or
policy#________________________________________
All American Wrestling Camp Application
Name: __________________________________________
Street: __________________________________________
City: _______________________ State: _____ Zip:________
Home# (___) _____-________ Work# (___) _____-________
Cell# (___) _____-________
Email: ___________________________________________
Parent/Guardian Signature:
_______________________________________________
Age: ________ DOB:_______________ Weight:_________
# of years Wrestled:________________
Notable Accomplishments:_________________________
T-Shirt Size (Circle One)
Youth: M L Adult: S M L XL XXL XXXL
Make checks payable to: Mark McLaughlin
Head Coach, Knoch High School
Mailing address: 174 East Airport Rd.
Butler, Pa 16002
Phone: 724-822-7473
Credit Card Payment: Visa _____ MasterCard______
Card Number:________________________________
Expiration Date. ____________
Amt. to be charged: ______________________________
Card holder Name: _______________________________
Card Holder Signature:____________________________
Feel free to call Coach Waller regarding his
year-round All American Wrestling Club at his
training center in Latrobe, PA
724-423-7112 (Home) 724-306-0056 (Cell)
NOTE: Visit Coach Waller’s All-American
WEBSITE @
www.wrestlingreport.com/waller